Nokea
The nurse is preparing a teaching care plan for the client diagnosed with nephrotic syndrome. Which intervention should the nurse include?
- A. Stop steroids if a moon face develops.
- B. Provide teaching for taking diuretics.
- C. Increase the intake of dietary sodium.
- D. Report a decrease in daily weight.
Correct Answer: B
Rationale: Diuretics are commonly prescribed in nephrotic syndrome to manage edema. Teaching proper diuretic use (e.g., timing, side effects like hypokalemia) is essential. Stopping steroids for moon face is incorrect, increasing sodium worsens edema, and weight loss is expected, not a concern.
You may also like to solve these questions
The nurse and a licensed practical nurse (LPN) are caring for a group of clients. Which intervention should be assigned to the LPN?
- A. Assessment of the client who has had a Kock pouch procedure.
- B. Monitoring of the postop client with a WBC of 22,000/mm3.
- C. Administration of the prescribed antineoplastic medications.
- D. Care for the client going for an MRI of the kidneys.
Correct Answer: D
Rationale: Caring for a client going for an MRI involves routine tasks (e.g., transport, preparation) within an LPN’s scope. Assessment, monitoring high WBC, and administering chemotherapy require RN judgment.
Before peritoneal dialysis begins, the nurse correctly informs the client that the procedure involves the movement of urea and creatinine through the peritoneum by which means?
- A. Osmosis
- B. Diffusion
- C. Filtration
- D. Gravity
Correct Answer: B
Rationale: Diffusion is the primary mechanism by which urea and creatinine move across the peritoneal membrane during dialysis.
The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?
- A. BUN and creatinine.
- B. WBC and hemoglobin.
- C. Potassium and sodium.
- D. Bilirubin and ammonia level.
Correct Answer: A
Rationale: Elevated blood urea nitrogen (BUN) and creatinine levels indicate impaired kidney function, making them the primary markers for diagnosing ARF. Other labs like WBC, electrolytes, or liver function tests are less specific for ARF diagnosis.
The client is admitted to the emergency department after a gunshot wound to the abdomen. Which nursing intervention should the nurse implement first to prevent ARF?
- A. Administer normal saline IV.
- B. Take vital signs.
- C. Place client on telemetry.
- D. Assess abdominal dressing.
Correct Answer: A
Rationale: A gunshot wound can cause hypovolemia, leading to prerenal ARF. Administering normal saline IV restores volume and perfusion, preventing ARF. Vital signs, telemetry, and dressing assessment are important but secondary to fluid resuscitation.
As the nurse instructs the client about CBI, which information should the nurse provide? Select all that apply.
- A. You may feel the urge to urinate even though the bladder is empty.
- B. Do not to try to urinate around the catheter, because this will cause bladder spasms.
- C. You need to limit your fluids to 4 glasses per day.
- D. It is normal for the urine to be bloody immediately after surgery.
- E. The catheter will be removed in about a week.
- F. By the time you are ready to go home, your urine should be pink with a few clots.
Correct Answer: A,B,D,F
Rationale: These statements accurately describe CBI effects, expectations, and precautions post-TURP.